Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,265.80 / $7,585.78	Professional		$3,090.30	$4,265.80	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $15,135.61 / $19,054.61	Professional		$5,623.41	$15,135.61	$19,054.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,495.41 / $7,943.28	Facility		$4,466.84	$5,495.41	$7,943.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,888.44 / $7,943.28	Professional		$5,495.41	$5,888.44	$7,943.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,244.36 / $7,413.10	Facility		$7,079.46	$7,244.36	$7,413.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $6,309.57 / $8,709.64	Facility		$4,073.80	$6,309.57	$8,709.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $6,456.54 / $7,762.47	Professional		$87.10	$6,456.54	$7,762.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,471.29 / $28,183.83	Facility		$6,165.95	$10,471.29	$28,183.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,317.64 / $8,317.64	Professional		$7,413.10	$8,317.64	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,786.30 / $15,488.17	Facility		$2,884.03	$4,786.30	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,548.13 / $6,760.83	Professional		$3,162.28	$3,548.13	$6,760.83